Difficulty: Medium
Average Score: 84%
Simulated
Passage / Scenario
An adolescent with sickle cell anemia, pain in extremities rated 9/10, swelling at hand joints, hemoglobin 5 g/dL, hematocrit 30%, RBC count 3.3, WBC count 12,000/mm3, platelets 148,000/mm3, temperature 38.8°C, pulse 110/min, respiratory rate 20/min, BP 100/80 mm Hg, oxygen saturation 96%Which of the following actions should the nurse plan to take? (Select all that apply.)
Correct answer
B,E,F
Rationale
The correct actions are B, E, and F. Bedrest helps with conserving energy and promoting healing. Blood transfusion requires consent for an invasive procedure. IV fluids help maintain hydration and support circulation. A, C, D, and G are incorrect. Applying cold compresses may worsen joint inflammation. Providing oxygen at 6 L/min is too high for nasal cannula. Fluid restriction is not necessary unless indicated. Passive range-of-motion exercises may not be appropriate without assessing the patient's condition first.